Organization Active NPI

Stuttering Therapy of New Jersey

  • Speech-Language Pathologist
  • Fair Lawn, NJ
National Provider Identifier
1124737614
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
STUTTERING THERAPY OF NEW JERSEY
Practice address
5-11 Saddle River Rd Ste 2a
Fair Lawn, NJ 07410-5636
Phone
(201) 669-2822
NPI assigned
Nov 23, 2022
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victoria Giacalone, SLPNPI 1508351271
Title
SLP/Owner
Phone
(201) 669-2822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

5-11 Saddle River Rd Ste 2a
Fair Lawn, NJ 07410-5636

Mailing address

5-11 Saddle River Rd Ste 2a
Fair Lawn, NJ 07410-5636
Phone (201) 669-2822

Other identifiers 1

IdentifierTypeStateIssuer
1508351271OtherNJSLP

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice Direct

National Provider Directory

National Provider Directory

Locations

5-11 Saddle River Rd
Ste 2A
Fair Lawn, NJ 07410
Phone (201) 475-2777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1124737614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5-11 SADDLE RIVER RD STE 2A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105636",
            "telephone_number": "201-669-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-11 SADDLE RIVER RD STE 2A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105636",
            "telephone_number": "201-669-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUTTERING THERAPY OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "GIACALONE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "201-669-2822",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP",
            "identifier": "1508351271",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5-11 Saddle River Rd Ste 2A",
            "city": "Fair Lawn",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074105636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.